Allergic rhinitis - what to ask your doctor - adult
What to ask your doctor about allergic rhinitis - adult; Hay fever - what to ask your doctor - adult; Allergies - what to ask your doctor - adult; Allergic conjunctivitis - what to ask your doctor
Allergies to pollen, dust mites, and animal dander in the nose and nasal passages cause a condition called allergic rhinitis. Hay fever is another term often used for this problem. Symptoms are usually a watery, runny nose and itching in your nose. Allergies can also bother your eyes.
Below are questions you may want to ask your health care provider to help you take care of your allergies.
Hi. I'm Dr. Alan Greene and I would like to give you a tip for how to use nasal sprays that contain medications. This is especially useful for the steroid nasal sprays that are used to treat allergies, but also true for the ones used for a cold or other things as well. Now, the middle part of the nose between the two nostrils is called the septum and it's got cartilage in there and a lot of blood vessels where nosebleeds typically come from. And when the medication squirts straight into the septum that can cause side effects - irritation, bleeding, and other things like that. Now most of the time when people use a nasal spray what they will do is either use the same hand for both sides or use one hand for the nostril closest to you and one for the other. I'm going to suggest you do just the opposite of that. You take one hand and squirt into the other nostril. When you do that, you naturally point the stream away from the septum and avoid the side effects. It's a simple trick that works really well.
Questions
What am I allergic to?
- Will my symptoms feel worse inside or outside?
- At what time of year will my symptoms feel worse?
Do I need allergy tests?
What sort of changes should I make around my home?
- Can I have a pet? In the house or outside? How about in the bedroom?
- Is it OK for anyone to smoke in the house? How about if I am not in the house at the time?
- Is it OK for me to clean and vacuum in the house?
- Is it OK to have carpets in the house? What type of furniture is best to have?
- How do I get rid of dust and mold in the house? Do I need to cover my bed or pillows with allergen proof casings?
- How do I know if I have cockroaches? How do I get rid of them?
- Can I have a fire in my fireplace or wood burning stove?
How do I find out when smog or pollution is worse in my area?
Am I taking my allergy medicines the right way?
- What are the side effects of my medicines? For what side effects should I call the provider?
- Can I use nasal spray that I can buy without a prescription?
If I also have asthma:
- I'm taking my controller medicine every day. Is this the right way to take it? What should I do if I miss a day?
- I take my quick-relief medicine when my allergy symptoms come on suddenly. Is this the right way to take it? Is it OK to use this medicine daily?
- How will I know when my inhaler is getting empty? Am I using my inhaler the right way? Is it safe to use an inhaler with corticosteroids?
Do I need allergy shots?
What vaccinations do I need?
What sort of changes do I need to make at work?
What exercises are better for me to do? Are there times when I should avoid exercising outside? Are there things that I can do for my allergies before I start exercising?
What should I do when I know I'm going to be around something that makes my allergies worse?
References
Corren J, Baroody FM, Togias A. Allergic and nonallergic rhinitis. In: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Principles and Practice. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 40.
Nadeau KC. Approach to the patient with allergic or immunologic disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 235.
Version Info
Last reviewed on: 2/2/2023
Reviewed by: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
